Gender: M

Race: C

Birth Date: 03/19/1911

Death Date: 02/05/1964

Place of Birth: Washington, IN

Year Medical License Issued: 1939

Medical School: Univ. of Tennessee Medical College

Medical School Location: TN

Degree: MD

Graduation Date: 1937

References:

File water-damaged.

Certified by TX Board?: Y

Location:

Specialty:

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